Casaundra Lynne Didomenico, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC020279 Issued in PA

Practice address

9 Lacrue Ave Ste 103
Glen Mills, PA 19342-1062

Phone

(484) 840-1529

NPI assigned

Apr 29, 2019

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Total Approach

  • Specialist
  • Glen Mills, PA
  • NPI 1972849198
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1255995833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 BRINTON LAKE RD",
            "city": "THORNTON",
            "state": "PA",
            "postal_code": "193731003",
            "telephone_number": "484-983-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LACRUE AVE STE 103",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421062",
            "telephone_number": "484-840-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDOMENICO",
        "first_name": "CASAUNDRA",
        "middle_name": "LYNNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP009591",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC020279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A Dentinger
• Jenny Lucia Depadua, PA
• Varun Dhingra, DDS
• Christopher Di Lallo, PT
• Tara Megan Dickinson, LCSW
• Denise Michele Digiulio, R.PH.
• Catherine J Digregorio, MD
• Anthony E Dimarco, DO
• Emily Ding
• Carol Diskin, PT

• Occupational Therapist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.